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Old 01-22-2012
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Poison ferrous sulfate overdose

A 30 year old man has been brought to A+E by a friend. He informs the staff that the patient has taken 40 tablets of ferrous sulphate. Which one of these is an important feature of iron poisoning?

A. Diarrhoea
B. Abdominal discomfort
C. Fever
D. Hypotension
E. Slurred speech
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Old 01-22-2012
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Ans D... well diarrhea and abdo pain also occur but hypotension due to haemorrhage appears to be the most imp one ....
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Old 01-22-2012
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u sure? i always thought the most important point in fe-intox was the necrotizing gastroenteritis because it's special to fe in contrast to the other intoxes...

but with the hematemesis and bloody diarrhea followed by shock...hypotension makes sense....
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Old 01-22-2012
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U world said in acute stage it cause nausea , , diarrhea , abdo pain, haemorrhage , hypovolemia and shock in severe cases ....

so most of the above symptoms like diarrhea and haemorrhage leads to hypotension .... dont know abt necrotizing gastroenteritis but even it will lead to haemorrhage and hypotension i assume .........
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Old 01-22-2012
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Quote:
Originally Posted by Hitman View Post
U world said in acute stage it cause nausea , , diarrhea , abdo pain, haemorrhage , hypovolemia and shock in severe cases ....

so most of the above symptoms like diarrhea and haemorrhage leads to hypotension .... dont know abt necrotizing gastroenteritis but even it will lead to haemorrhage and hypotension i assume .........
well I dont know about hypotention I was about to go with abdominal pain!!!
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Old 01-22-2012
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The patient "just" ingested
I guess B
A is wrong coz it needs tym for iron to cause diarrhea and the patient has just ingested
D is wrong because its not chronic it happened acutely probably due to suicidal attempt

So chronologically first patients abdomen will get discomfort then diarrhea then hemmorthage then necrotazing gastroenteritis then hypotension
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Old 01-23-2012
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Ans B . . . .because pretty much what Bunny said
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Old 01-24-2012
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CORRECT, The most important feature is hypotension because iron poisoning leads to "Hematemesis" that leads to condition like shock
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Pharmacology-, Step-1-Questions, Toxicology-

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